Brun J G, Celerier M, Bessou J P, Ferry J, Dubost C
Nouv Presse Med. 1981 Jun 27;10(28):2365-7.
The authors describe an original technique of excision in severe caustic burns of the upper digestive tract: oesophagectomy without thoracotomy. The new procedure avoids the wide pleural opening of the thoracic approach, which leads to frequent and often fatal respiratory and infectious complications, whereas extrapleural drainage of the mediastinum has always proved effective and safe. Five technically successful operations were performed in one year. One patient died on the 10th post-operative day of tracheal necrosis related of the burn and 4 patients survived. These preliminary results are encouraging.
不开胸食管切除术。新手术避免了开胸手术时广泛的胸膜开口，而这会导致频繁且往往致命的呼吸和感染并发症，而纵隔的胸膜外引流一直被证明是有效且安全的。一年内进行了5例技术上成功的手术。1例患者术后第10天死于与烧伤相关的气管坏死，4例患者存活。这些初步结果令人鼓舞。
